MARK A GUFFEY DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

MARK A

GUFFEY

DO

MARK A GUFFEY DO

08/05/1994

08/05/1994

07/31/2005

CHICAGO

IL

60608

COOK

II III IV V

N

10/09/2006